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Individual

JILL LORRAINE BEDNAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
740 MAPLE DR, SAINT CROIX FALLS, WI 54024-9125
(715) 483-9824
Mailing address
18500 285TH ST, SHAFER, MN 55074-9768
(651) 500-4420

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1490-39
WI
2255A2300X
Athletic Trainer
2517
MN

Other

Enumeration date
06/18/2018
Last updated
06/18/2018
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